The effect of intensive rehabilitation treatment on sleep disorder in children with motor delays
Abstract Background Although the importance of sleep problems has been increasingly emphasized due to the effects on children's development and children's and families' daytime behaviors, physical health, and quality of life, they have been overlooked in clinical practice. However, th...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-06-01
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| Series: | BMC Pediatrics |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12887-023-04067-1 |
| _version_ | 1797801264862461952 |
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| author | Sung Hyun Kim Jin Hee Jung Min Cheol Chang Donghwi Park |
| author_facet | Sung Hyun Kim Jin Hee Jung Min Cheol Chang Donghwi Park |
| author_sort | Sung Hyun Kim |
| collection | DOAJ |
| description | Abstract Background Although the importance of sleep problems has been increasingly emphasized due to the effects on children's development and children's and families' daytime behaviors, physical health, and quality of life, they have been overlooked in clinical practice. However, there have been few studies on the effects of rehabilitation on sleep problems. Therefore, in this study, we investigated the effects of an intensive rehabilitation program on sleep problems in children with developmental delays (DD). Methods We included 36 children with DD (30 outpatients, 6 inpatients) and their caregivers who completed all items on the Sleep Disturbance Scale for Children. Of the children with DD, 19 (59.3%) had cerebral palsy (CP) and 13 (40.7%) had DD of non-CP origins, of which 6 (18.8%) had prematurity, 4 (12.5%) had genetic causes, and 3 (9.4%) had an unknown origin. Changes in sleep problems after the intensive rehabilitation program were evaluated using a paired or unpaired t-test, depending on the distribution of the continuous variables. Results After the intensive rehabilitation program, in 36 children with DD, there was a significant improvement in the difficulty in initiating and maintaining sleep (DIMS) sub-score (p < 0.05). However, there was no significant improvement in the total score or other sub-scores, such as those for sleep breathing disorders (SBD), disorders of arousal (DA), sleep–wake transition disorders (SWTD), disorders of excessive somnolence (DOES), and sleep hyperhidrosis (SH). In the subgroup analysis according to the cause of DD, children with CP had a significant improvement in DIMS and DOES sub-scores (p < 0.05). Conclusion The intensive rehabilitation program, consisting of more than two sessions per day, effectively alleviated sleep problems in children with DD, especially in those with CP. Among the sleep problems, the intensive rehabilitative program was most effective at improving the DIMS. However, further prospective studies with a larger number of patients with DD and a more standardized protocol are necessary to generalize this effect. |
| first_indexed | 2024-03-13T04:47:49Z |
| format | Article |
| id | doaj.art-c5055c402051495c9fb105679d7e29a9 |
| institution | Directory Open Access Journal |
| issn | 1471-2431 |
| language | English |
| last_indexed | 2024-03-13T04:47:49Z |
| publishDate | 2023-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pediatrics |
| spelling | doaj.art-c5055c402051495c9fb105679d7e29a92023-06-18T11:24:58ZengBMCBMC Pediatrics1471-24312023-06-012311710.1186/s12887-023-04067-1The effect of intensive rehabilitation treatment on sleep disorder in children with motor delaysSung Hyun Kim0Jin Hee Jung1Min Cheol Chang2Donghwi Park3Department of Rehabilitation Medicine, Bundang Jesaeng HospitalDepartment of Rehabilitation Medicine, Bundang Jesaeng HospitalDepartment of Rehabilitation Medicine, Yeungnam University HospitalDepartment of Rehabilitation Medicine, Daegu Fatima HospitalAbstract Background Although the importance of sleep problems has been increasingly emphasized due to the effects on children's development and children's and families' daytime behaviors, physical health, and quality of life, they have been overlooked in clinical practice. However, there have been few studies on the effects of rehabilitation on sleep problems. Therefore, in this study, we investigated the effects of an intensive rehabilitation program on sleep problems in children with developmental delays (DD). Methods We included 36 children with DD (30 outpatients, 6 inpatients) and their caregivers who completed all items on the Sleep Disturbance Scale for Children. Of the children with DD, 19 (59.3%) had cerebral palsy (CP) and 13 (40.7%) had DD of non-CP origins, of which 6 (18.8%) had prematurity, 4 (12.5%) had genetic causes, and 3 (9.4%) had an unknown origin. Changes in sleep problems after the intensive rehabilitation program were evaluated using a paired or unpaired t-test, depending on the distribution of the continuous variables. Results After the intensive rehabilitation program, in 36 children with DD, there was a significant improvement in the difficulty in initiating and maintaining sleep (DIMS) sub-score (p < 0.05). However, there was no significant improvement in the total score or other sub-scores, such as those for sleep breathing disorders (SBD), disorders of arousal (DA), sleep–wake transition disorders (SWTD), disorders of excessive somnolence (DOES), and sleep hyperhidrosis (SH). In the subgroup analysis according to the cause of DD, children with CP had a significant improvement in DIMS and DOES sub-scores (p < 0.05). Conclusion The intensive rehabilitation program, consisting of more than two sessions per day, effectively alleviated sleep problems in children with DD, especially in those with CP. Among the sleep problems, the intensive rehabilitative program was most effective at improving the DIMS. However, further prospective studies with a larger number of patients with DD and a more standardized protocol are necessary to generalize this effect.https://doi.org/10.1186/s12887-023-04067-1Sleep problemsDevelopmental delaysCerebral palsy |
| spellingShingle | Sung Hyun Kim Jin Hee Jung Min Cheol Chang Donghwi Park The effect of intensive rehabilitation treatment on sleep disorder in children with motor delays BMC Pediatrics Sleep problems Developmental delays Cerebral palsy |
| title | The effect of intensive rehabilitation treatment on sleep disorder in children with motor delays |
| title_full | The effect of intensive rehabilitation treatment on sleep disorder in children with motor delays |
| title_fullStr | The effect of intensive rehabilitation treatment on sleep disorder in children with motor delays |
| title_full_unstemmed | The effect of intensive rehabilitation treatment on sleep disorder in children with motor delays |
| title_short | The effect of intensive rehabilitation treatment on sleep disorder in children with motor delays |
| title_sort | effect of intensive rehabilitation treatment on sleep disorder in children with motor delays |
| topic | Sleep problems Developmental delays Cerebral palsy |
| url | https://doi.org/10.1186/s12887-023-04067-1 |
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